Can you be multilingual if you don’t talk at all? The question may sound paradoxical but it is one that I’ve been asked many times in my work as Speech and Language Therapist. Over the years, I’ve encountered numerous people who do not talk or who can understand and use very few words. This includes people who have had a stroke or traumatic brain injury affecting speech and language systems in the brain, as well as those with intellectual disabilities that have affected the language development process from the earliest days of life. Some of these individuals come from backgrounds where multilingualism is the norm and their families are often concerned about choosing the language that can best support communication and the development of new skills.